1 месяц назад
Claims Analyst II
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Analyst II (Auto Insurance): Investigating, evaluating, negotiating, and settling complex auto insurance claims through documentation review, policy interpretation, reserve setting, and liability assessment with an accent on accurate, timely, and customer-focused claim resolution. Focus on managing claim costs, identifying fraud and subrogation opportunities, coordinating vendors and litigation, and maintaining accurate claim files.
Location: Mexico City, Mexico
Company
is a global insurance organization providing commercial and personal property casualty insurance products and services across approximately 70 countries and jurisdictions.
What you will do
- Investigate, evaluate, negotiate, and settle complex auto insurance claims using documentation, policy provisions, and other records.
- Determine claim acceptance or denial and provide accurate coverage, quantum, and legal liability assessments within authority limits.
- Manage an average monthly workload of 45 new claims and 135 outstanding claims according to the staffing model.
- Set appropriate reserves, maintain accurate claim data, identify fraud and subrogation opportunities, and make referrals when required.
- Coordinate with claimants, employers, medical providers, auto repair centers, vendors, legal partners, team managers, and senior adjusters.
- Meet service-level agreements, resolve outstanding issues, support quality reviews, and contribute to best practices for complex auto claims.
Requirements
- Experience adjusting lower-complexity claims.
- Ability to prioritize and multitask effectively in a fast-paced environment.
- Clear and concise verbal and written communication skills.
- Computer proficiency, desk management, phone etiquette, and time management skills.
- Basic knowledge of legal, regulatory, litigation, and procedural requirements for the relevant line of business.
- Adjuster licensing or a related license may be required depending on local jurisdictional requirements.
Culture & Benefits
- Full-time employment with a global insurance organization.
- Continuous learning and professional development opportunities.
- Flexible work arrangements, diversity and inclusion learning, cultural awareness activities, and Employee Resource Groups.
- Volunteer Time Off and Matching Grants Programs supporting community involvement.
- No travel is expected for this position.
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